person
Shane Mozingo
Family Nurse Practitioner in North Logan, Utah
NPI 1295347474

Shane Mozingo is a Family Nurse Practitioner based in North Logan, UT and is specialized in Family. Shane Mozingo practices in North Logan, UT. The NPI Number for Shane Mozingo is 1295347474 and holds a License No. 10646550-3102 (Utah).

The current practice location address for Shane Mozingo is 2841 N 920 E, North Logan, UT and can be reached out via phone at 435-512-1066.

Location: 2841 N 920 E, North Logan, UT, 84341-5806
person
Provider Profile Details
NPI Number
1295347474
Provider Name
Shane Mozingo
Credential
Provider Entity Type
Individual
Gender
Male
Address
2841 N 920 E, North Logan, UT, 84341-5806
Phone Number
435-512-1066
Fax Number
Provider Enumeration Date
08/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2841 N 920 E
City
State
Zip
84341-5806
Phone Number
435-512-1066
Fax Number
person
Provider Business Mailing Address Details
Address
2841 N 920 E
City
State
Zip
84341-5806
Phone Number
435-512-1066
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
10646550-3102 (Utah)
Definition
Definition to come...
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